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| WORK
ORDER FORM |
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READING BLUE MOUNTAIN & NORTHERN RAILROAD |
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P.O. BOX 218 PORT CLINTON, PA
19549 |
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| TELEPHONE (610)
562-0750 FAX (610) 562-1922 COAL FAX (610) 562-3641 |
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PORTION ABOVE DOTTED LINE TO BE FILLED OUT BY CUSTOMER |
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| WHEN
REQUESTING A RAIL CAR MOVE OTHER THAN A NORMAL RAIL CAR SPOT |
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| DATE WORK
REQUESTED ________________ |
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Company: _________________________________ |
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| DATE WORK NEEDED __________________ |
Name: ____________________________________ |
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| Type of work to be performed: EXPLAIN BELOW |
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Title: _____________________________________ |
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City/State/Zip:
________________________________ |
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Phone (____) ___________ Fax (____) __________ |
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>>>>>>> RAILROAD
SERVICES/CHARGES<<<<<<< |
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[X] CHECK ONE |
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[ ]
Inspector: Minimum Charge $440.00 Per 8 Hr.Day |
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Special Train:
Minimum charge $3,000.00 |
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call Railroad for cost |
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Switching:
$109.00 Per Car |
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Train Delay: $1,000.00 Minimum charge call for rates |
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Weighing: Inbound $125.00 Per Car |
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Outbound $99.00 Per Car |
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Diversion: $495.00 Per Car |
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Other Services Required: Call the Railroad for Cost |
| MAIL
SWITCHING/WEIGHING CHARGES TO: |
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| Company
Name_____________________________________ |
ATTN: _______________________________ |
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| Address___________________________________________ |
Phone # of actual payer (_____)___________ |
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| City/State/Zip:______________________________________ |
Fax # (____) ____________ |
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| (CUSTOMER
FILLING OUT THIS FORM WILL ULTIMATELY BE RESPONSIBLE FOR THE CHARGES) |
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| NOTE: This form must be
returned to Railroad Office as soon as possible via fax. |
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| Switching/weighing
will not be performed without ALL charge information. If necessary,
attach drawing of actual move. |
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| :::::::::::::::::::::::: THIS PORTION TO
BE COMPLETED BY RAILROAD OFFICE ONLY :::::::::::::::::::::::::: |
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| If train
delay, fill in total man hours: _________________________ |
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| If
switching/weighing, what cars were switched/weighed? |
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| _________________________________________ |
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___________________________ |
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___________________________ |
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___________________________ |
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| WORK PERFORMED BY: |
Engineer: _________________ |
Conductor: ___________________ |
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| DATE FORM
FILLED OUT: ________ PERSON FILLING
OUT REPORT: ________________________
TITLE: ________________ |
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| RBMN person
who authorized on-line rail car move ______________________________
DATE_______________ |
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